Individual provider Active NPI

Shanna Gamble, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1043859093
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1043859093 Issued in TX
Practice address
3541 Balboa BCH
Abilene, TX 79606-5659
Phone
(325) 201-2984
NPI assigned
Dec 21, 2019
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1043859093 TX Primary

Addresses

Primary practice location

3541 Balboa BCH
Abilene, TX 79606-5659

Mailing address

3541 Balboa BCH
Abilene, TX 79606-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030002021 TX Practitioner - Nurse Practitioner 0143630251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc, LLPGroup PAC ID 1254417918, 4 clinicians

Practice addresses (Care Compare)

1249 Ambler Ave
Suite 200
Abilene, TX 79601-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.73 of 100Reported as group
Quality
52.37
Improvement activities
40
Cost
79.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1043859093TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Assoc., LLP CurrentSince Apr 1, 2024 Accepting new patients
C,L and W PLLC CurrentSince Jul 25, 2020 Accepting new patients
Anesthesia Webb, PLLC Past Accepting new patients

Locations

1249 Ambler Ave
Abilene, TX 79601
Phone (325) 677-2626

3101 S 27th St
Abilene, TX 79605
Phone (325) 695-5440

4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1043859093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 BALBOA BCH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 BALBOA BCH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065659",
            "telephone_number": "325-201-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "SHANNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1043859093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.